| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,776 |
6,063 |
$1.13M |
| T1040 |
Medicaid certified community behavioral health clinic services, per diem |
308 |
224 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,939 |
4,100 |
$47.00 |
| 90686 |
|
183 |
160 |
$46.95 |
| 81025 |
|
54 |
31 |
$23.58 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
252 |
191 |
$10.00 |
| 3725F |
|
1,966 |
1,814 |
$0.00 |
| 1160F |
|
2,011 |
1,816 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
36 |
$0.00 |
| 3078F |
|
2,013 |
1,847 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
54 |
40 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
22 |
16 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 1036F |
|
2,276 |
2,076 |
$0.00 |
| 3074F |
|
2,322 |
2,122 |
$0.00 |
| 90834 |
Psychotherapy, 45 minutes with patient |
216 |
170 |
$0.00 |
| 3008F |
|
2,747 |
2,515 |
$0.00 |
| 3079F |
|
564 |
540 |
$0.00 |
| 3075F |
|
68 |
66 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79 |
74 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
40 |
$0.00 |
| 96127 |
|
356 |
334 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$0.00 |